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Yesterday (May 14th) it was Mothers Day. But for those kidney patients, how to be a mother? Does pregnancy bring them any bad influence. In this article, lets have a look at what to do for kidney patients once getting pregnant. First of all

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What to Do for Kidney Patients once Getting Pregnant

2017-05-17 01:41

Yesterday (May 14th) it was Mother’s Day. But for those kidney patients, how to be a mother? Does pregnancy bring them any bad influence. In this article, let’s have a look at what to do for kidney patients once getting pregnant.

First of all, what is the influence of pregnancy to kidney disease?

Kidney disease types  Influence of pregnancy to kidney disease
Chronic glomerulonephritis
Interstitial nephritis(noninfectious) 
If it is not accompanied with high blood pressure, there is usually no influence, but it is susceptible to urinary tract infections.
Polycystic Kidney Disease Pregnancy may cause slight kidney function impairment and elevate blood pressure.
Diabetic Nephropathy It is usually accompanied with swelling, preeclampsia and infections, but it may not influence your kidney damage.
Chronic pyelonephritis Whether there is influence or not, there is still dispute. But if the disease has stopped for over 6 weeks, prognosis is good, but after giving birth, steroid intake should be increased.
Lupus Nephritis  During pregnancy, bacteriuria may occur so as to worsen your disease.
Urinary calculus  It is suspicious for you to get UTIs, but urinary tract dilation does not affect your natural course.
Post nephrectomy or ectopical kidney  You can get pregnant, and difficult labor seldom occurs.

Second, let’s have a look at the medications you use.

What to Do for Kidney Patients once Getting Pregnant

Some patients may worry that the medications they take will affect the growth and development of fetus. Here are some medications you should pay attention.


For general kidney patients, steroids should be avoided during pregnancy. If you can not stop it because of some diseases, such as Lupus Nephritis, Purpura Nephritis or post transplant, you can eat small dosage of steroids to maintain the condition. Attention: dexamethasone and betamethasone should be avoided.


Immunosuppressants you can use includes calcineurin antagonist such as CsA, tacrolimus and sirolimus, and anti-metabolism drug such as azathioprine.

Immunosuppressants you should avoid:

1. Nucleotide synthesis inhibitors, such as cyclophosphamide, mycophenolate mofetil, leflunomide, etc. They can suppress the bone marrow of fetus and fetal malformation.

2. Protein immunosuppressants, such as rituximab and antihuman thymocyte globulin. They may go into maza, so it is not advisable.

3. The influence of Hydroxychloroquine to fetus is still under research, so you had better use it with caution.

-Lipid-lowering medicine

This kind of medicine may cause fetal central nervous system malformations. If you are not with severe hyperlipemia, it should be avoided.

-Anti-coagulation medications

The medications you can use: Heparin does not go into maza, so you can use small dosage of it.

The medications you should avoid: coumarin such as warfarin may influence organ development during organ development period (6-8 weeks of pregnancy). Anti-platelet aggregation medicines such as dipyridamole and clopidogrel are not recommended.


Voltaren, etodolac, flurbiprofen, ibuprofen, ketorolac, relafen, naproxen, sodium nproxen, oxaprozin and so on can be used during the early stage of pregnancy. In the advanced stage, you had better not use them.

-Other medications

12 weeks of pregnancy before, folic acid and vitamin B12 should be used to reduce the risk of preeclampsia and improve the prognosis of pregnancy. Iron supplements, EPO and calcium should be used according to your condition.

What to do for kidney patients once getting pregnant? Hope the above information is helpful for you. For more information on kidney disease, please leave a message below or contact online doctor.

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Our Treatment Effect

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You can take a look at this patient's report. His creatinine was 1028 and urea level was 39.7 on 2018-12-11; creatinine level was reduced to 331 and urea was 16.1 on 2019-1-5. After about 25 days' treatment in our hospital, his creatinine level was reduced by 697, and urea was reduced by 23.6. Hope his condition gets better and better.

Our Treatment effect

Proteinuria is a common symptom of kidney disease

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It can make your urine foamy. Although it does not make you feel uncomfortable, it can impair your renal function and make your kidney disease worse. Conventional treatment such as steroids and immunosuppressants can hardly make it negative. In our hospital, systemic Chinese medicine treatment can help you turn it negative. Look at this picture, bubbles in urine become less and less with our treatment going on.